Individual
DR. JOHNNY JAMES DI BLASI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
127 NORTH ST, BATAVIA, NY 14020-1631
(585) 343-6030
Mailing address
1016 LIBERTY PARK DR, BRASELTON, GA 30517-1884
(904) 482-9673
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
075206
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/17/2014
Last updated
11/15/2016
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